Individual
DR. BHARAT NATHWANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 DUARTE RD, DUARTE, CA 91010-3012
(626) 256-4673
Mailing address
PO BOX 512185, LOS ANGELES, CA 90051-0185
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
A30317
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A303170
BLUE SHIELD
CA
01
—
1952325565
GROUP NPI
CA
01
—
220014843
MEDICARE RAILROAD
CA
05
—
LAB28654F
—
CA
Enumeration date
08/04/2006
Last updated
11/19/2020
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